NPIMap

Organization Active NPI

Laboratorio Clinico Martin II, Inc.

  • Clinical Medical Laboratory
  • San Juan, PR
National Provider Identifier
1295275865
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
659 Issued in PR
Legal business name
LABORATORIO CLINICO MARTIN II, INC.
Practice address
48 Ave Munoz Rivera Apt 2702
San Juan, PR 00918
Phone
(787) 780-8000
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ivelisse Martin Ortiz, PH.D.
Title
President
Phone
(787) 780-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 659 PR Primary

Addresses

Primary practice location

48 Ave Munoz Rivera Apt 2702
San Juan, PR 00918

Mailing address

121 Ave Betances
Bayamon, PR 00959
Phone (787) 780-8000

National Provider Directory

National Provider Directory

Locations

121 Ave Betances
Bayamon, PR 00959
Phone (787) 780-8000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1295275865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 AVE BETANCES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-780-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 AVE MUNOZ RIVERA APT 2702",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-780-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO MARTIN II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "MARTIN ORTIZ",
        "authorized_official_first_name": "IVELISSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-780-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.